NP Engages in Loud, Disrespectful Argument With Resident Over Medication
Penalty
Summary
The deficiency involves a failure to ensure a resident was treated with dignity and respect when a Nurse Practitioner (NP) engaged in a loud, disrespectful interaction with the resident at the nurses' station. The facility's policy on Patient Rights and Responsibilities, last revised in November 2026, states that personnel will be oriented and instructed in observing patient rights, including the right to dignity and respect and to be treated with consideration, recognizing each resident's individuality. Resident #1, admitted on 05/21/20 with a diagnosis including nontraumatic intracerebral hemorrhage and anxiety, had a care plan directing staff to allow ample time to absorb and respond to information, provide a calm therapeutic environment, and use a calm, reassuring approach with explanations and reassurance. According to the resident, during an encounter a few months prior, the resident was upset about blood pressure medication and went to the nurses' desk to speak with the NP. The resident reported that he/she and the NP "got into it" and yelled at each other. CMT B, who was in the medication room next to the nurses' desk, heard yelling, looked out, and observed the resident and NP in a heated argument about the resident's medication, with both the NP and the resident yelling. CMT B stated that staff should not yell or raise their voice to residents and noted that a nurse and a charge nurse were present at the desk during the yelling and did not attempt to intervene. CMT C reported hearing loudness from the area and later being told that the NP and resident had been loud with each other. The Social Services Director (SSD) and the Director of Nursing (DON) both described hearing loud voices and observing or being informed that the NP and resident were loud with each other. The SSD stated the resident later reported feeling that the NP was not listening or understanding what the resident was trying to say. The DON reported hearing loud voices from her office, exiting to find the resident yelling at the NP, and observing the NP at the nurses' station facing the nurse on duty while they appeared to disagree over an order requested by the resident. The DON and other staff, including CNAs and RNs, indicated that staff yelling at residents is inappropriate and not respectful or dignified. The Director of Clinical and the Administrator both reported being informed that the NP had become loud with the resident and that the NP had matched the resident's tone during the interaction.
We Help Long-Term Care Teams Stay Survey-Ready
We process and analyze inspection reports and plan of correction using AI to extract insights and trends so providers can improve care quality and stay ahead of compliance risks.